| NPI | 1619096633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000445) |
| Additional Taxonomies | 231HA2500X Audiologist, Assistive Technology Supplier (Licence: MI 1601000445) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2010-02-18 |