| NPI | 1588821409 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 22363) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: OR HASP774606) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-11-26 |