| NPI | 1609184621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NM 6150) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IN 23002485A) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2017-03-14 |