| NPI | 1225404841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS A4056) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 80755) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2018-07-23 |