| NPI | 1194022871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 410) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CT 410) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2018-12-07 |