| NPI | 1619966132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 7254) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AZ DA1960) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2011-01-14 |