NPI | 1639731847 |
---|---|
Former Name | SAMANTHA PANNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000853) |
Additional Taxonomies | 231H00000X Audiologist |
Enumeration Date | 2019-07-08 |
Last Update Date | 2022-12-19 |