| NPI | 1083885172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 8806) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 51276) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2015-04-16 |