| NPI | 1891090460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WV A-0285) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201001451) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 2201001451) | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2015-10-09 |