NPI | 1811120058 |
---|---|
Former Name | RACHAEL SUZANNE MCCOLLUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
Enumeration Date | 2009-09-03 |
Last Update Date | 2023-04-19 |