| NPI | 1891889580 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CA 2027) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: CA HA3898) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-01-19 |