| NPI | 1942956602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: WA 61144575) |
| Additional Taxonomies | 231HA2500X Audiologist Assistive Technology Supplier (Licence: WA 61144575) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-05-24 |