| NPI | 1376647065 |
|---|---|
| Former Name | DIANA JANE BERTELSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 10615) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 10615) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2024-02-21 |