| NPI | 1790130128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 4720) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PR 1005) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2018-08-20 |