| NPI | 1992064091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 100037) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 0552) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2018-09-26 |