| NPI | 1205223864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CO 0000972) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NC 11419) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2022-01-31 |