| NPI | 1245452150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1347) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 1601000443) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2011-09-13 |