| NPI | 1932826872 |
|---|---|
| Former Name | LARISSA HELLEN TEIXEIRA VIEGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 31057) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA 3759) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2023-01-31 |