| NPI | 1164697215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WI NBC-HIS623) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WI 623) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2010-06-17 |