| NPI | 1801043302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SD 404A) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 309085) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2026-09-03 |