| NPI | 1841964152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601001159) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 4861) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2024-09-17 |