| NPI | 1750327011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY SLPAUD00222874) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MN 7971) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2016-03-23 |