| NPI | 1972911501 |
|---|---|
| Former Name | CHELSEA GRANHEIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2256) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: KS 1573) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2018-12-06 |