| NPI | 1215011507 |
|---|---|
| Former Name | PATRICIA ANNE BLOMSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: A) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ AUD0026) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2017-10-05 |