NPI | 1386028181 |
---|---|
Former Name | KRISTAN SERSHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MN 9650) |
Additional Taxonomies | 231H00000X Audiologist (Licence: IA 078062) |
231H00000X Audiologist (Licence: IA 078000) | |
Enumeration Date | 2015-07-13 |
Last Update Date | 2019-09-24 |