| NPI | 1952771594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: ME AP2642) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NM 5862) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2017-05-03 |