| NPI | 1154604064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000599) |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: MI 1601000599) |
| 231HA2500X Audiologist Assistive Technology Supplier (Licence: MI 1601000599) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000599) | |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2017-05-02 |