| NPI | 1952828758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2017028202) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2327) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |