| NPI | 1598196313 |
|---|---|
| Former Name | KELSEY LINDSAY CORCORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 9991) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MI 1601000643) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2017-11-29 |