| NPI | 1255646717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS A3484) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AR 327) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2011-10-11 |