| NPI | 1245961689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 30000900) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WI 1125) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2026-01-30 |