| NPI | 1780964049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CO 738) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MI 1601000595) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2022-07-21 |