| NPI | 1356639025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 3981) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NC 10936) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2017-05-24 |