| NPI | 1467593319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 683) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5753) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MA 683) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-09 |