| NPI | 1649712290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 12634) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: SC 4112) |
| 231H00000X Audiologist (Licence: NC 1707034) | |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2022-11-23 |