| NPI | 1639903651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355A2700X Specialist/Technologist Audiology Assistant |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO 0035271) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2025-05-22 |