| NPI | 1124167036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WV A-0059) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WV A-0059) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: WV A-0059) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: WV A-0059) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-03-18 |