| NPI | 1891421251 |
|---|---|
| Former Name | MIRANDA E HAWBAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: RI AUD00296) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2443) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2024-08-09 |