| NPI | 1275634461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: 12040707) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 3501003430) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-04-18 |