NPI | 1639736077 |
---|---|
Former Name | LAURA BRADFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NV HAS-3161) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA7927) |
Enumeration Date | 2019-05-21 |
Last Update Date | 2023-02-08 |