NPI | 1770741639 |
---|---|
Former Name | CHRISTINA RYAN WOODALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147001179) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IL 147001179) |
Enumeration Date | 2008-05-28 |
Last Update Date | 2021-11-17 |