| NPI | 1093078925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC AUD.4137) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002410) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2020-03-20 |