| NPI | 1629391800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS A3381) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: LA 6142) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: MS A3381) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: MS A3381) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MS A3381) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2014-01-07 |