| NPI | 1891341202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 4926) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002900) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2023-03-22 |