| NPI | 1689195422 |
|---|---|
| Former Name | KIMBERLY LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 10161) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD004099) |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2022-01-31 |