| NPI | 1538714696 |
|---|---|
| Former Name | LORANN MARTHA POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2019029081) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2379) |
| 237700000X Hearing Instrument Specialist (Licence: KS 1802) | |
| 231H00000X Audiologist | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2024-08-23 |