| NPI | 1700986569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SD 317A) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CO 426) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |