| NPI | 1205067642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 22700) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: OR HAS-P-10113296) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |