| NPI | 1295113124 |
|---|---|
| Former Name | AMANDA EHRENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NE 775) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IA 075886) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |