| NPI | 1487034823 |
|---|---|
| Former Name | CARRIE KELM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80774) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80774) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2024-06-14 |