| NPI | 1184674202 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KS 2145) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NE 183) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: KS 1400) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-05-14 |