| NPI | 1407251051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VT 145.0129099) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002568) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2021-08-05 |