| NPI | 1730230996 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: GA 001690) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA 1690) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2014-04-30 |