| NPI | 1083582837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601001259) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 81930) |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2026-08-10 |