| NPI | 1174769749 |
|---|---|
| Former Name | KATHLEEN TERESA COSTIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN 2206) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2013022988) |
| 231H00000X Audiologist (Licence: PA AT006350) | |
| Enumeration Date | 2009-01-01 |
| Last Update Date | 2024-05-22 |