NPI | 1467938605 |
---|---|
Former Name | CHELCI BORLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: OH A.02161) |
Additional Taxonomies | 231H00000X Audiologist (Licence: KY 246086) |
Enumeration Date | 2018-07-11 |
Last Update Date | 2018-12-20 |