NPI | 1871864140 |
---|---|
Former Name | ANN LOUSIE SELLERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2206) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: KS 1517) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2014-01-24 |