| NPI | 1316941784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231HA2500X Audiologist Assistive Technology Supplier (Licence: MO 109228) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MO 109228) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2017-10-12 |