| NPI | 1568992543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000815) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TN 1791) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2021-03-18 |