NPI | 1568709822 |
---|---|
Former Name | MELISSA ANN WHEATON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 10804) |
Additional Taxonomies | 231H00000X Audiologist (Licence: OH A.01836) |
231H00000X Audiologist (Licence: SC 4039) | |
Enumeration Date | 2013-01-07 |
Last Update Date | 2016-03-29 |