| NPI | 1851646012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355A2700X Specialist/Technologist, Audiology Assistant (Licence: TX 39393) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2015-12-01 |