| NPI | 1770638645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AZ 490) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PR 264) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |