| NPI | 1639466295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WI 626-156) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 8813) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2019-08-12 |