| NPI | 1306275797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AL 1136A) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY 2010) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2016-02-08 |