| NPI | 1164428173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 000407) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 273699) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2021-11-05 |