NPI | 1972161677 |
---|---|
Former Name | ELIZABETH ANN SECKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: WV A-0353) |
Additional Taxonomies | 231H00000X Audiologist (Licence: OH A.02220) |
Enumeration Date | 2019-05-29 |
Last Update Date | 2022-09-16 |