| NPI | 1548507734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CO AUD.0001000) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH A.02231) |
| 231H00000X Audiologist (Licence: PA AT006273) | |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2021-07-15 |