| NPI | 1609119700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OH A0320) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0158) |
| 231H00000X Audiologist (Licence: WV A0291) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |