| NPI | 1144273368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 4795) |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: NC 1028) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 1028) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |