| NPI | 1457099053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD004322) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: GA AUD004322) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-11-18 |