| NPI | 1366160855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 246QH0600X Spec/Tech, Pathology, Histology (Licence: KS 3847) |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |