| NPI | 1215974175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000145) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MI 1601000145) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: MI 1601000145) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2019-04-26 |