| NPI | 1922201490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 00366) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 001011) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |