| NPI | 1992862304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000116) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI BM000116) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-05-29 |