| NPI | 1588924336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1611) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MA 4753) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2020-10-13 |