| NPI | 1700267531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY SLPAUD00218771) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: KY HISHSP00223883) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2016-05-04 |