| NPI | 1720036015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 7789480-4101) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IA 21574) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-08-23 |