| NPI | 1265411847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NH A354) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: ME AP1298) |
| 231H00000X Audiologist (Licence: MA 262) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2012-08-29 |