| NPI | 1811979024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: MA 871931) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA AUD766) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MA 766) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2025-08-13 |