| NPI | 1639778129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY2526) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201001805) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2021-12-10 |