| NPI | 1780035352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WY A-1019) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WY A-1019) |
| 231HA2400X Audiologist Assistive Technology Practitioner (Licence: WY A-1019) | |
| 235500000X Specialist/Technologist (Licence: WY A-1019) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2020-11-16 |