| NPI | 1477684199 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MT SLP-AU-LIC-734) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MT SLP-AU-LIC-734) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2025-02-07 |