| NPI | 1164827952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 4085) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NC 11131) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2021-04-27 |