| NPI | 1932554615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA 11403) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CT 000567) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2017-03-13 |