| NPI | 1265800650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: LA 7239) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 80805) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2022-09-01 |