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 |