| NPI | 1023003779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: HI AUD104) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: HI HA133) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-08-31 |