| NPI | 1154712263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PR 1024) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY 1919) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2023-01-27 |