| NPI | 1225858236 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 31125) | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: WA LD61602227) | 
| Enumeration Date | 2024-10-14 | 
| Last Update Date | 2025-04-02 |