| NPI | 1205308004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 30974) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002850) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2025-06-20 |