| NPI | 1508595257 |
|---|---|
| Former Name | EMILY NICOLE HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 108679) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 113683) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2023-01-09 |