NPI | 1114368214 |
---|---|
Former Name | KATHLEEN V RAFAEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2019047149) |
Additional Taxonomies | 231H00000X Audiologist (Licence: TN 1676) |
231H00000X Audiologist (Licence: TX 80687) | |
Enumeration Date | 2013-07-17 |
Last Update Date | 2020-03-05 |