| NPI | 1679356521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001987) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CT 000745) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2024-07-25 |