| NPI | 1619263621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 12931) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: SC 3951) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2019-12-12 |