| NPI | 1073160859 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: OK 5442) | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 81178) | 
| Enumeration Date | 2019-08-26 | 
| Last Update Date | 2020-12-30 |