NPI | 1043209737 |
---|---|
Former Name | KATHLEEN ANN ANDOLSEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: DE 03-0000229) |
Additional Taxonomies | 231H00000X Audiologist (Licence: DE 02-0000155) |
Enumeration Date | 2005-10-17 |
Last Update Date | 2011-02-03 |