| NPI | 1497192801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2017007823) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2238) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2017-03-28 |