| NPI | 1164116521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2024033359) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2513) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2024-08-19 |