| NPI | 1659320588 |
|---|---|
| Former Name | MELANIE LEE CANAVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MO 2004017426) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: KS 2000) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2013-01-29 |