| NPI | 1063661791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 3306) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003551) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2015-12-15 |