| NPI | 1578768537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 30786) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 51485) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2018-03-27 |