| NPI | 1073844569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NM 3000) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80399) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NM 5160) | |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2014-12-05 |