| NPI | 1902360654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2355A2700X Specialist/Technologist, Audiology Assistant |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |