| NPI | 1386297752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2020012745) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 251782) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2022-04-21 |