| NPI | 1104114461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VT 145.0122205) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: VT 145.0122205) |
| 231H00000X Audiologist (Licence: MD 01228) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MD 01228) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2017-04-26 |