| NPI | 1184904286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 5295327-4101) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 5295327-4101) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2021-11-04 |