NPI | 1669916425 |
---|---|
Former Name | STEPHANIE LYNN FISCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: VT 145.0124534) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002704) |
Enumeration Date | 2016-12-14 |
Last Update Date | 2018-07-16 |