| NPI | 1508316811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2020042058) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA 3170) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2021-02-12 |