| NPI | 1487970430 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 30797)  | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006146)  | 
| Enumeration Date | 2010-04-15 | 
| Last Update Date | 2015-03-24 |