| NPI | 1659730117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY SLPAUD00218466) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TN 577) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |