| NPI | 1962076299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 109364) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: IA 108054) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2022-09-15 |