NPI | 1265621262 |
---|---|
Former Name | KIMBERLY A PAYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000473) |
Additional Taxonomies | 231H00000X Audiologist (Licence: TX 80135) |
231H00000X Audiologist (Licence: FL AY1710) | |
231H00000X Audiologist (Licence: AZ DA9985) | |
Enumeration Date | 2007-10-16 |
Last Update Date | 2018-07-20 |