| NPI | 1760656003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 0053) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 0434) |
| 207Y00000X Otolaryngology (Licence: KY 0434) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2014-06-02 |