NPI | 1427054543 |
---|---|
Former Name | ERIN LEE PETTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: WI 408156) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WI 408156) |
Enumeration Date | 2005-06-23 |
Last Update Date | 2007-12-12 |