| NPI | 1659010585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2022039326) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2452) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2023-02-14 |