| NPI | 1649378852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WY A-984) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MT U975) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MT 332HAD) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: WY A-984) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-06-25 |