| 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 |