| NPI | 1922380286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000611) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MD 01238) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2012-06-21 |