| NPI | 1972095669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WV A-0342) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 243358) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2021-05-10 |