| NPI | 1255957197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2020016774) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: UT 11799122-4101) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2021-09-01 |