NPI | 1629111406 |
---|---|
Former Name | BRIDGETT A GIVAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23002409A) |
Additional Taxonomies | 231H00000X Audiologist (Licence: OH A01766) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2013-08-05 |