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 |