| NPI | 1730315367 |
|---|---|
| Former Name | AMANDA LORI DAVIDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN A1821) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003924) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2017-04-06 |