| NPI | 1538363791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 10010) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TN 1369) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2019-10-25 |