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 |