NPI | 1679243935 |
---|---|
Former Name | ABBY E WALDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: WI 750-156) |
Additional Taxonomies | 231H00000X Audiologist |
Enumeration Date | 2021-09-17 |
Last Update Date | 2023-03-29 |