| NPI | 1376967349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OK 4471) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 80488) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2016-06-24 |