| NPI | 1174805972 |
|---|---|
| Former Name | KRISTINE ELLEN MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 697) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CO 637) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2022-02-23 |