| NPI | 1295848992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2016034419) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| 231H00000X Audiologist (Licence: KS 505) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-12-12 |