| NPI | 1104498831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD61327839) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CT 000673) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2022-07-25 |