| NPI | 1023157401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY KY-0170) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IN 23002041A) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |