| NPI | 1063064210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001762) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD004192) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2020-03-30 |