| NPI | 1972080604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 4856) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: RI 241) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2023-05-24 |