| NPI | 1659578011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 01620) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 000878) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |