| NPI | 1205930740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000061) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: MI 1601000061) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000061) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2009-04-13 |