| NPI | 1154634749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MD 01201) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: DC AUD0000112) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2015-11-06 |