NPI | 1659511004 |
---|---|
Former Name | PAMELA LYNN REYNOLDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MN 7959) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 7959) |
231H00000X Audiologist | |
Enumeration Date | 2009-02-25 |
Last Update Date | 2023-02-16 |