| NPI | 1750345336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2021008775) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WI 90156) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2021-04-23 |