| NPI | 1801526645 |
|---|---|
| Former Name | ALYSSA KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 81361) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 81361) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |