| NPI | 1336669597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VT 145.0133402) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 4696-SP-AU) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2025-09-26 |