| NPI | 1760742662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN 0000001349) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TN 0000001349) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2023-06-08 |