NPI | 1891813598 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MA 291) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA 62668) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2024-01-16 |