| NPI | 1801260856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001707) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: DC 000157) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2019-01-07 |