| NPI | 1114206794 |
|---|---|
| Former Name | AMANDA LAUREN LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN 1664) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU2779) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA7603) | |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2014-01-29 |