| NPI | 1720028087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201-001122) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 2101-001388) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-01-10 |