NPI | 1982099198 |
---|---|
Former Name | CASEY GONZALEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: LA 7822) |
Additional Taxonomies | 231H00000X Audiologist (Licence: AL 1130A) |
Enumeration Date | 2015-04-03 |
Last Update Date | 2022-07-21 |