NPI | 1902054497 |
---|---|
Former Name | BRANDY RENEE WINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MD 01368) |
Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006087) |
231H00000X Audiologist (Licence: KY 0560) | |
Enumeration Date | 2008-09-09 |
Last Update Date | 2024-08-13 |