| NPI | 1659746121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NC 571) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2024-07-12 |