| NPI | 1609143015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS A3738) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AL 1078-A) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: AL 1078-A) | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2023-02-09 |