| NPI | 1487879888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KS 1775) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2000150367) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |