| NPI | 1902458870 |
|---|---|
| Former Name | MADISON E RICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AZ DA13724) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TN 1948) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2023-01-19 |