| NPI | 1265968192 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: WI 724) | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: MN 9886) | 
| Enumeration Date | 2017-05-11 | 
| Last Update Date | 2024-09-17 |