| NPI | 1538263769 |
|---|---|
| Former Name | ANGELA NICHOLE KINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD00002292) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WA 00002292) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2023-10-19 |