NPI | 1659865921 |
---|---|
Former Name | LAURA MICHELLE LEVIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: DC AUD000195) |
Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201001700) |
231H00000X Audiologist | |
Enumeration Date | 2018-06-19 |
Last Update Date | 2023-02-01 |