NPI | 1427673979 |
---|---|
Former Name | KAYLENE ANN KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: SC 4150) |
Additional Taxonomies | 231H00000X Audiologist |
Enumeration Date | 2020-06-10 |
Last Update Date | 2024-11-20 |