| NPI | 1053621573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 9089) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003057) |
| 231H00000X Audiologist (Licence: IL 147.000630) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2016-09-28 |