| NPI | 1982959821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VT 1450114555) |
| Additional Taxonomies | 231H00000X Audiologist |
| 231H00000X Audiologist (Licence: MA SP-986-AU) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2024-03-07 |