| NPI | 1104379015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA AUD4752) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 4752) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2024-06-25 |