NPI | 1619543444 |
---|---|
Former Name | BAYLEE MARIE WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
Enumeration Date | 2021-06-02 |
Last Update Date | 2021-06-02 |