| NPI | 1710294319 |
|---|---|
| Former Name | KIMBERLY MCINNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 13859) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AZ583) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 13859) | |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2020-10-28 |