| NPI | 1164412847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NE 145) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 602) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2008-10-07 |