| NPI | 1578854691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NE 609) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: WY 111) |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2011-04-23 |