NPI | 1619125531 |
---|---|
Former Name | KRISTIN JOY GROENENBOOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist |
Additional Taxonomies | 2355A2700X Specialist/Technologist, Audiology Assistant |
237700000X Hearing Instrument Specialist (Licence: NE 116) | |
237700000X Hearing Instrument Specialist | |
Enumeration Date | 2008-09-04 |
Last Update Date | 2013-11-11 |