NPI | 1275063612 |
---|---|
Former Name | BRITTANY ELIZABETH KYZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: KY 173422) |
Additional Taxonomies | 231H00000X Audiologist (Licence: KY 173657) |
Enumeration Date | 2017-06-18 |
Last Update Date | 2021-08-10 |