| NPI | 1467833004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60570967) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WA LD60570967) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-10 |