| NPI | 1316094691 |
|---|---|
| Former Name | NOEL C BOORTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NE 243) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 243) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2021-05-19 |