NPI | 1912294208 |
---|---|
Former Name | LAURA ANN MERGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IA 000770) |
Additional Taxonomies | 231H00000X Audiologist (Licence: SD 383A) |
Enumeration Date | 2011-07-07 |
Last Update Date | 2021-11-11 |