NPI | 1154879971 |
---|---|
Former Name | KRYSTYNA NICOLE GRAHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: DC AUD000171) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
Enumeration Date | 2016-09-21 |
Last Update Date | 2024-02-22 |