| NPI | 1154562684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA SP-905-AU) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CT 519) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2020-03-04 |