| NPI | 1871914176 |
|---|---|
| Former Name | GLORIA EYICEL DIAZ BARCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY2681) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH A-01441) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: OH A-01441) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: OH A-01441) | |
| Enumeration Date | 2014-01-04 |
| Last Update Date | 2024-05-07 |