| NPI | 1154519726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NM AUD5888) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WI 23-156) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2024-01-08 |