| NPI | 1053159525 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD004414) | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: AL 1383a) | 
| 231H00000X Audiologist (Licence: NC 30002904) | |
| Enumeration Date | 2024-07-18 | 
| Last Update Date | 2024-07-18 |