| NPI | 1750719662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AL 1120A) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TN 1358) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2013-10-31 |