| NPI | 1609964998 |
|---|---|
| Former Name | KRISTIN JENNIFER SEWALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001256) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101001462) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-05-03 |