| NPI | 1225023849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1711) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 50905) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2014-10-03 |