| NPI | 1760516694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC AUD4008) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 001344) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-09-01 |