| NPI | 1972899250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CO AUD-605) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0538) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2016-08-24 |