| NPI | 1093057069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD10130) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2017-01-03 |