NPI | 1417298969 |
---|---|
Former Name | MARCY KAY LAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TN SP1853) |
Additional Taxonomies | 231H00000X Audiologist (Licence: TX 80449) |
Enumeration Date | 2013-03-08 |
Last Update Date | 2024-01-18 |