| NPI | 1588836795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN A0000001297) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0837) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-10-14 |