| NPI | 1043519523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS A3785) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CO 607) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2017-05-09 |