| NPI | 1891046363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VT 8051143) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NH A615) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2017-04-19 |