| NPI | 1023077518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000156) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 572) |
| 237700000X Hearing Instrument Specialist (Licence: CT 000173) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2009-11-18 |