| NPI | 1679639991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2004015178) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MO 2003006518) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-09-07 |