NPI | 1023665775 |
---|---|
Former Name | KIRSTEN R MOSKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: OH 000281398) |
Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201001947) |
231H00000X Audiologist (Licence: OH A.02234) | |
Enumeration Date | 2019-08-19 |
Last Update Date | 2024-03-01 |