| NPI | 1508248139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 4195) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NC 1607011) |
| 231H00000X Audiologist (Licence: MA 1119) | |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2022-10-21 |