| NPI | 1790865889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MT 248) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MT 141) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2012-11-02 |