| NPI | 1639726094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: ID AUD5335) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002911) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2023-02-06 |