| NPI | 1245569755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 12632) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201001397) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2017-10-03 |