| NPI | 1417352741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: KY 12-17) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WV 1018) |
| 237700000X Hearing Instrument Specialist (Licence: OH 03172) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2015-03-25 |