NPI | 1811275571 |
---|---|
Former Name | NANCY KAYE SUNDAHL SMART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD00002586) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WA 294849E) |
Enumeration Date | 2011-07-29 |
Last Update Date | 2011-07-29 |