| NPI | 1861607756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: LA 1032) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 1032) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: LA 1032) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2007-07-09 |