NPI | 1699088724 |
---|---|
Former Name | KRISTEN OLSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: VT 145.0133309) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA0077800) |
237700000X Hearing Instrument Specialist (Licence: NJ 25MG00119500) | |
Enumeration Date | 2010-07-18 |
Last Update Date | 2020-11-11 |