| NPI | 1528090008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP5139) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MD 03841) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-08-27 |