| NPI | 1861403503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 201) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KY 591) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-05-15 |