| NPI | 1861875486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA AUD100190) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006419) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2025-08-13 |