| NPI | 1962674119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 6762) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: SC 3424) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NC 1174) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2016-08-16 |