| NPI | 1669965141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2018019308) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2340) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |