| NPI | 1639455033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 9268) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WI 478-156) |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2011-10-30 |