| NPI | 1013314657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NE 456) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 1055) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2024-07-23 |