| NPI | 1023020518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147-000155) |
| Additional Taxonomies | 231H00000X Audiologist |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: IL 147-000155) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: IL 147-000155) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: IL 147-000155) | |
| 237700000X Hearing Instrument Specialist (Licence: IL 147-000155) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 147000155) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-04-17 |