| NPI | 1972881779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80644) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003875) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2023-04-17 |