| NPI | 1053481614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 345) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 620) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2016-01-13 |