| NPI | 1376635896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000658) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IN 23002078A) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2021-09-20 |