| NPI | 1801104864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: HI AUD-125) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: HI HA-205) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |