| NPI | 1114165313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2156) |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: KS 2156) |
| 231HA2500X Audiologist Assistive Technology Supplier (Licence: KS 2156) | |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |