| NPI | 1083639496 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CA AU906) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA1898) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |