| NPI | 1275904013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001593) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: VA 0101225951) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2021-11-09 |