| NPI | 1831347863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS A3712) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MI 1601000492) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2014-02-14 |