| NPI | 1104147875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 0525) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: KY 1023) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2014-05-20 |