| NPI | 1992085286 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000593)  | 
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: MI 1601000593)  | 
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: MI 1601000593)  | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000593)  | |
| Enumeration Date | 2011-08-18 | 
| Last Update Date | 2011-08-18 |