| 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 |