NPI | 1942254677 |
---|---|
Former Name | MADONN NICOLE MORGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: SC 3890) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WV A-0377) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2024-03-20 |