| NPI | 1467530469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000281) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH A-01223) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-08-06 |