NPI | 1902258817 |
---|---|
Former Name | TESSA DURNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 14450) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MD 01390) |
Enumeration Date | 2016-07-05 |
Last Update Date | 2020-10-21 |