| NPI | 1841435104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: ME AP2150) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AK 101) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2012-01-06 |