| NPI | 1417958885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 022594) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: OR 1003982) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2009-01-06 |