| NPI | 1912164328 |
|---|---|
| Former Name | ANGELA JO LEDERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000256) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000256) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2022-04-08 |