| NPI | 1003882549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AZ DA1178) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ DA1178) |
| 231HA2400X Audiologist Assistive Technology Practitioner (Licence: AZ DA1178) | |
| 235Z00000X Speech-Language Pathologist (Licence: AZ SLP1063) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2017-04-10 |