NPI | 1427447259 |
---|---|
Former Name | MEGAN CHRISTINE NOVAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: TN A1865) |
Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147.001496) |
Enumeration Date | 2015-01-16 |
Last Update Date | 2020-06-26 |