| NPI | 1770686131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 22825) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OR HASP10115989) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-07-06 |