NPI | 1659384857 |
---|---|
Former Name | LORETTA J COLTHARP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TN A103) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TN A103) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2024-05-31 |