| NPI | 1629714837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2022024985) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: KS 1885) |
| 231H00000X Audiologist (Licence: KS 2441) | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-07-18 |