NPI | 1609294941 |
---|---|
Former Name | ASHLEY KYRA SUTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001422) |
Additional Taxonomies | 231H00000X Audiologist (Licence: DC AUD000123) |
237700000X Hearing Instrument Specialist (Licence: VA 2101001890) | |
Enumeration Date | 2014-04-03 |
Last Update Date | 2018-08-03 |