NPI | 1972059525 |
---|---|
Former Name | KELLY HEMMINGWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 13356) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002649) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2019-02-12 |