| NPI | 1124308366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1744) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003861) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2015-03-02 |