| NPI | 1134259286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CO 0000672) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NM 1584) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-04-18 |