| NPI | 1134333800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT000164L) |
| Additional Taxonomies | 231HA2500X Audiologist Assistive Technology Supplier (Licence: PA D00629) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-09-14 |