| NPI | 1053623413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NE 320) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CO 592) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 146) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2014-11-25 |