| NPI | 1710499942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601001255) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AK 127121) |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2026-08-21 |