| NPI | 1265114177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA 3809) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 16715) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-10-27 |