| NPI | 1326769084 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601001177)  | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 81520)  | 
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2022-09-09 | 
| Last Update Date | 2024-10-22 |