| NPI | 1831665397 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 030926) | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: OR 20180718000211210901) | 
| Enumeration Date | 2018-10-22 | 
| Last Update Date | 2021-12-20 |