NPI | 1558532226 |
---|---|
Former Name | CHARLENE DEONNE WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: LA 4961) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MS A2533) |
Enumeration Date | 2008-03-20 |
Last Update Date | 2008-03-20 |