| NPI | 1265094254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WI 22174) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IA 096715) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2022-05-02 |