| NPI | 1104151620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1168) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: FL AY1168) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2019-01-04 |