| NPI | 1962407619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ DA1350) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AZ DA1350) |
| 231H00000X Audiologist (Licence: NM 5965) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NM 5965) | |
| Enumeration Date | 2005-06-18 |
| Last Update Date | 2016-06-08 |