| NPI | 1770646754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1987) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2107) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-10-13 |