| NPI | 1790764033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS A4373) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MS A4373) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2021-08-03 |