| NPI | 1518251107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 7997609-4103) |
| Additional Taxonomies | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: UT 7997609-4103) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-07-11 |