| NPI | 1760917652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IA 000771) |
| 231H00000X Audiologist (Licence: TX 80688) | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2021-04-15 |