NPI | 1801244249 |
---|---|
Former Name | STEPHANIE ANN WARYASZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MA SP-1092-AU) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MA 1092-SP-AU) |
Enumeration Date | 2016-05-26 |
Last Update Date | 2018-12-19 |