| NPI | 1093328056 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 15024) | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY1064) | 
| Enumeration Date | 2020-08-28 | 
| Last Update Date | 2021-09-24 |