| NPI | 1003292277 |
|---|---|
| Former Name | KASEY AMANDA MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2023-06-30 |