| NPI | 1235388067 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001443) | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: DE 02-0000145) | 
| Enumeration Date | 2008-09-17 | 
| Last Update Date | 2021-05-20 |