| NPI | 1962478537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001404) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 571) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2009-09-22 |