| NPI | 1962719070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2015032021) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AR A318) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2021-11-08 |