NPI | 1629226824 |
---|---|
Former Name | ERICA LYNN STENBERG |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2158) |
Additional Taxonomies | 231H00000X Audiologist (Licence: KS 1380) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2010-10-07 |