| NPI | 1124020599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA 644) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: GA 644) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-07-09 |