| NPI | 1104265024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 0572) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: KY 1072) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2014-01-07 |