| NPI | 1962762674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MD 01207) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MD 01207) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2016-10-07 |