| NPI | 1972930766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 101789) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH Ao1295) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2023-07-28 |