NPI | 1700225067 |
---|---|
Former Name | BRYNA LEE CLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT006327) |
Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201001520) |
237600000X Audiologist-Hearing Aid Fitter (Licence: PA AT006327) | |
Enumeration Date | 2013-06-20 |
Last Update Date | 2014-11-05 |