| NPI | 1790833705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 0229) |
| 207Y00000X Otolaryngology (Licence: KY 0229) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-11-15 |