| NPI | 1386753358 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist | 
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner | 
| 231HA2500X Audiologist, Assistive Technology Supplier | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2006-08-30 | 
| Last Update Date | 2019-11-19 |