| NPI | 1144616202 |
|---|---|
| Former Name | KIVONEY WISDOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: DE O3-0010283) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NJ 25MG00110700) |
| 237700000X Hearing Instrument Specialist (Licence: PA F03257) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2022-03-29 |