| NPI | 1205568573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 13139302-4101) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: ID AUD-5347) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-08-29 |