| NPI | 1851634000 |
|---|---|
| Former Name | KRISTA MICHELLE HOLDERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OH A01811) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006386) |
| 231H00000X Audiologist (Licence: WV A0293) | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2018-02-16 |