| NPI | 1780729079 |
|---|---|
| Former Name | LAURA ELIZABETH BOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 174-001399) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: IL 147-001399) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: IL 147001399) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: IL 147-001399) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-02-07 |