| NPI | 1871778662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 727) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CT 396) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CT 000396) | |
| 231HA2500X Audiologist Assistive Technology Supplier (Licence: CT 000396) | |
| 231HA2400X Audiologist Assistive Technology Practitioner (Licence: CT 000396) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2014-02-10 |