NPI | 1467770941 |
---|---|
Former Name | SARAH LYNN CHIPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147.001385) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WI 550-156) |
Enumeration Date | 2010-05-09 |
Last Update Date | 2015-03-18 |