| NPI | 1053738823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 073177) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IA 072402) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2018-06-21 |