NPI | 1851666846 |
---|---|
Former Name | VANESSA M BETANCOURT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: AZ DA10187) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NC 9304) |
Enumeration Date | 2012-03-09 |
Last Update Date | 2019-06-28 |