| NPI | 1497436703 |
|---|---|
| Former Name | ALLISON MARIE JESSE CASIDAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2023026234) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2485) |
| 237700000X Hearing Instrument Specialist (Licence: KS 1941) | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2024-08-21 |