| 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 |