NPI | 1578075594 |
---|---|
Former Name | LISA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: FL AS5311) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101002796) |
Enumeration Date | 2017-10-31 |
Last Update Date | 2024-01-18 |