| NPI | 1699081240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WV A-0339) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2010023050) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2025-03-11 |