| NPI | 1174811434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 165689) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: SC 3936) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2022-11-15 |