| NPI | 1477620565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AL 1041a) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY1367) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2009-03-18 |