| NPI | 1386805638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000511) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002181-1) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |