NPI | 1558885921 |
---|---|
Former Name | VICTORIA A MOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: AL 1182A) |
Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY2140) |
Enumeration Date | 2017-07-27 |
Last Update Date | 2022-07-21 |