| NPI | 1871844886 |
|---|---|
| Former Name | LAURA ASHLEY BRANSCUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 100028) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0557) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2017-05-12 |