| NPI | 1770973695 |
|---|---|
| Former Name | EMILY JOANN LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 2089) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NC 632) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |