NPI | 1538631288 |
---|---|
Former Name | ALLISON PETERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TN 1922) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU3313) |
Enumeration Date | 2018-12-19 |
Last Update Date | 2021-08-19 |