| NPI | 1942855424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: DE O2-0000260) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00107300) |
| 231H00000X Audiologist (Licence: PA AT006632) | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2020-02-14 |