| NPI | 1760066385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 270554) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-07-26 |