NPI | 1518410810 |
---|---|
Former Name | ALISON M KIOLBASA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147.001623) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2016023476) |
Enumeration Date | 2016-08-03 |
Last Update Date | 2021-01-06 |