| NPI | 1568486157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000285) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MI 3501003141) |
| 231H00000X Audiologist (Licence: MI 160100285) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-07-25 |