| NPI | 1700058336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 0495) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MO 20007013693) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2009-01-30 |