| NPI | 1649971698 |
|---|---|
| Former Name | ELIZABETH MARIA SHIELDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 000723) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002946-01) |
| 231H00000X Audiologist (Licence: TX 81296) | |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |