NPI | 1437168150 |
---|---|
Former Name | DANICA MARIE SIEFKEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147.001225) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WI 420-156) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2014-12-17 |