NPI | 1629507496 |
---|---|
Former Name | BROOKE IRENE LEWANDOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CA AUD3295) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WI 640-156) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2022-11-15 |