| NPI | 1104163948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 9093) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 9093) |
| 237700000X Hearing Instrument Specialist (Licence: NC 9093) | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2014-05-16 |