| NPI | 1033281415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN A0000000222) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201000426) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-02-09 |