NPI | 1639307036 |
---|---|
Former Name | KRISTIN L SIMMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NE 276) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 099) |
Enumeration Date | 2009-06-24 |
Last Update Date | 2011-12-20 |