| NPI | 1740603240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CO 0963) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY1649) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2020-03-25 |