| NPI | 1194086405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WV A-0326) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MD 01249) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2022-04-07 |