| NPI | 1851039184 |
|---|---|
| Former Name | LEAANNA HAUSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 31034) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: ID AUD-5414) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-08-23 |