| NPI | 1225358328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001455) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WV A-0266) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2021-11-29 |