| NPI | 1003071119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 3904) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NC 8522) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 1335) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2011-10-04 |