NPI | 1891174066 |
---|---|
Former Name | DANIELLE M SOERENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2286) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2015018850) |
Enumeration Date | 2015-05-21 |
Last Update Date | 2022-10-11 |