| NPI | 1851384168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 101740) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0465) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: KY 100528) | |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2021-09-21 |