| NPI | 1578712212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201000627) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 1210) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |