NPI | 1679702864 |
---|---|
Former Name | ERICA MICHELLE SIMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: AZ DA6250) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ DA6250) |
Enumeration Date | 2009-07-08 |
Last Update Date | 2015-04-10 |