| NPI | 1194383984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 528542) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WY A-1036) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: WY A-1036) | |
| 237700000X Hearing Instrument Specialist (Licence: WY A-1036) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-08-28 |