| NPI | 1912154089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 20617) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: OR 20617) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2022-03-22 |