| NPI | 1073707352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MO 2004021609) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 1998) |
| 231H00000X Audiologist (Licence: MO 2004021609) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2022-06-03 |