NPI | 1609957059 |
---|---|
Former Name | RUBY CHAFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: WY A-994) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CO 200342) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2018-12-26 |