| NPI | 1306254081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MD 01377) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201001568) |
| 231H00000X Audiologist (Licence: PA AT006358) | |
| Enumeration Date | 2014-07-26 |
| Last Update Date | 2021-06-03 |