| NPI | 1730116542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MT 432) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MT 135) |
| 235Z00000X Speech-Language Pathologist, (Licence: MT 432) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2021-06-17 |