NPI | 1003904392 |
---|---|
Former Name | KRISTIN MARIE LENNEX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001295) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101001509) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2007-07-08 |