| NPI | 1255415659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 20878) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: OR 20878) |
| 237700000X Hearing Instrument Specialist (Licence: OR HASP812171) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-09 |