| NPI | 1184917684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN TNA0000001602) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA CA0000001826) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |