| NPI | 1003153552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1638) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003863) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |