| NPI | 1164869277 |
|---|---|
| Former Name | AMANDA D BOUTILIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: ND 1262) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: ND H-0318) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2022-02-01 |