NPI | 1902989395 |
---|---|
Former Name | KERI L O'CONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: OR 023583) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WA LD00004358) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2015-02-24 |