| NPI | 1578263083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA AUD6179) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MA 315) |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-09-02 |