| NPI | 1124048269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD003644) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AL 1052A) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-07-27 |