| NPI | 1841474491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80517) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003621) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2017-01-16 |