NPI | 1497515118 |
---|---|
Former Name | HALEY LYNN MATTHIAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: KY 292810) |
Additional Taxonomies | 231H00000X Audiologist |
Enumeration Date | 2024-03-20 |
Last Update Date | 2024-06-28 |