| NPI | 1265985436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 4059) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NC 12042) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2026-04-13 |