| NPI | 1396183505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001442) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MD 01214) |
| 231H00000X Audiologist (Licence: DC AUD000070) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2022-03-31 |