| NPI | 1730316753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA 60325216) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 900756) |
| 231H00000X Audiologist (Licence: MO 2010023075) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2013-02-05 |