| NPI | 1922475664 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY751)  | 
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: FL AY751)  | 
| Enumeration Date | 2015-08-28 | 
| Last Update Date | 2018-02-07 |