| NPI | 1720767213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MD 01666) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 2201001921) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MD 01666) | |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2024-08-13 |