| NPI | 1083169254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000752) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TN 0000001763) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2024-12-11 |