| NPI | 1609152206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: DC AUD000124) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MD 01242) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: DC AUD000124) | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2018-03-17 |