| NPI | 1386095883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 30858) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002885) |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2020-10-13 |