| NPI | 1164903597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 4748) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002800) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-06-26 |