| NPI | 1285149039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX pending) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OK 4726) |
| 231H00000X Audiologist (Licence: AL 1186a) | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2020-12-03 |