| NPI | 1083704928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT001084L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA AT001084L) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: PA AT001084L) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: PA AT001084L) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: PA AT001084L) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-02-17 |