| NPI | 1578982039 |
|---|---|
| Former Name | CAMILLE LYNN BRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 57 002514) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006532) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000041323) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2018-10-29 |