| NPI | 1508476771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 111940) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA 111940) |
| 231H00000X Audiologist (Licence: WI 720-156) | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-03-24 |