NPI | 1609334648 |
---|---|
Former Name | KATELIN ANNE ARCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: DC AUD000208) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MD 01440) |
Enumeration Date | 2019-03-08 |
Last Update Date | 2022-04-20 |