| NPI | 1275217945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2024023303) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2503) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: KS 1971) | |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2024-11-18 |