| NPI | 1720340870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN A1539) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MS 3411) |
| 231H00000X Audiologist (Licence: AR A321) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |