| NPI | 1497356521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 100119) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD004166) |
| 231H00000X Audiologist (Licence: FL AY2255) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |