| NPI | 1235577180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000723) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 648) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2016-05-10 |