| NPI | 1790992766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1716) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2001000292) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-05-02 |