NPI | 1720169444 |
---|---|
Former Name | TAMMY PRIDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU2020) |
Additional Taxonomies | 231H00000X Audiologist (Licence: UT 6519436-4101) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2019-04-30 |