| NPI | 1134612823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60965806) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: ID 3672) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2019-07-11 |