| NPI | 1740598622 |
|---|---|
| Former Name | ERIN L PROVOST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002312-1) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 002312) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2024-11-14 |