| NPI | 1750470464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 0309) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0754) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-09-15 |