| NPI | 1972747715 |
|---|---|
| Former Name | ELIZABETH TRACY MEHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MO 01401) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2010-11-16 |