NPI | 1932515137 |
---|---|
Former Name | REAGHAN D ALBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2014023244) |
Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2263) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2017-11-13 |