| NPI | 1912361601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MD 01361) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201001621) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2021-09-22 |