NPI | 1861939290 |
---|---|
Former Name | LAUREN ELIZABETH BRENNEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: KY 248546) |
Additional Taxonomies | 231H00000X Audiologist (Licence: IN 23002633A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-01-24 |
Last Update Date | 2021-09-28 |