NPI | 1780612366 |
---|---|
Former Name | ALLISON RADZIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NY 1608-1) |
Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY1369) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2009-03-12 |