| NPI | 1407369457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201011783) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 2101002548) |
| 237700000X Hearing Instrument Specialist (Licence: CO 859) | |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2022-10-31 |