| NPI | 1821257965 |
|---|---|
| Former Name | MARIE ELIZABETH DIVITA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: WV A0202) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: KY 0486) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2021-04-09 |