| NPI | 1023014685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OH A01053) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH AT-000910-L) |
| 231H00000X Audiologist (Licence: PA AT000910L) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2010-01-27 |