| NPI | 1063413730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1203) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME0054874) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2011-02-17 |