| NPI | 1760118111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MD 01749) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: SC 4243) |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2026-03-17 |