| NPI | 1861770828 |
|---|---|
| Former Name | AMY RUTH HAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231HA2500X Audiologist, Assistive Technology Supplier (Licence: KS 1948) |
| Additional Taxonomies | 231HA2500X Audiologist, Assistive Technology Supplier (Licence: MO 2011019423) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2021-08-18 |