| NPI | 1467892901 |
|---|---|
| Former Name | LISA K MANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AZ 4446) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ 4446) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2018-03-26 |