NPI | 1821247628 |
---|---|
Former Name | KATIE M. MALONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000551) |
Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0487) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2013-12-02 |