NPI | 1083976112 |
---|---|
Former Name | MARION KATHLEEN BLUESTEIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: KY 101739) |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY 100547) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2017-03-12 |