| NPI | 1992092639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2016031405) |
| Additional Taxonomies | 231H00000X Audiologist |
| 231H00000X Audiologist (Licence: AR A#366) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2021-03-08 |