| NPI | 1689952988 |
|---|---|
| Former Name | COLLEEN NICOLE EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2011024856) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 2011024856) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2019-03-26 |