| NPI | 1205716818 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA HIFD.HA.61625945) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NM HAD0954) |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |