| NPI | 1194795096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS 3325) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0161) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2014-02-05 |