NPI | 1669961355 |
---|---|
Former Name | KIMBERLYN BRIANE WELLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60872163) |
Additional Taxonomies | 231H00000X Audiologist |
Enumeration Date | 2018-05-08 |
Last Update Date | 2024-07-17 |