| NPI | 1649620022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MT SLP-AU-LIC-369) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MT 369) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2018-02-21 |