NPI | 1447232483 |
---|---|
Former Name | ELIZABETH A SHEPHERD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00009600) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG0004800) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2016-06-23 |