| NPI | 1992086623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NE 326) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CO AUD635) |
| 231HA2400X Audiologist Assistive Technology Practitioner (Licence: CO AUD635) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2020-10-14 |