| NPI | 1063564417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WY A928) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: WY A-928) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: WY A-928) | |
| 237700000X Hearing Instrument Specialist (Licence: WY A-928) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: WY A-928) | |
| 235500000X Specialist/Technologist (Licence: WY A928) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-08-17 |