| NPI | 1740954593 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: CO 1276) | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: HI 265) | 
| 231H00000X Audiologist (Licence: OR 31077) | |
| 231H00000X Audiologist (Licence: TX 81411) | |
| Enumeration Date | 2021-08-05 | 
| Last Update Date | 2024-12-04 |