NPI | 1992712780 |
---|---|
Former Name | KAREN LYNN CORDIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY 1364) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MN 7523) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2014-10-28 |