NPI | 1679574065 |
---|---|
Former Name | RENEE SUSAN LOKENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY 1094) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: FL AY1094) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2007-07-16 |