| NPI | 1679941900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000730) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH 1983) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2023-02-13 |