NPI | 1699081240 |
---|---|
Former Name | ERIN KELLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 231H00000X Audiologist (Licence: WV A-0339) |
Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2010023050) |
Enumeration Date | 2010-08-20 |
Last Update Date | 2023-06-08 |