| NPI | 1023435567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1862) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AZ668) |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2021-11-22 |