| NPI | 1619256963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY 1700) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: 1302) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2013-07-18 |