| NPI | 1467843334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 2015015953) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2015015953) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2024-04-25 |