| NPI | 1912124033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201000577) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2101001122) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-03-12 |