| NPI | 1023993607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: ID 5381309) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: UT 14226902-4101) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2026-04-03 |