| NPI | 1831490507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 5888664-4101) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: ID AuD-2064) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2022-07-21 |