| NPI | 1679529739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000296) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MI 3501003074) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-12-26 |