| NPI | 1114971579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001510) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101001983) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-04-04 |