| NPI | 1205093796 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 21278) | 
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: HAS-P-913527) | 
| Enumeration Date | 2008-05-21 | 
| Last Update Date | 2008-05-21 |