| NPI | 1235366527 |
|---|---|
| Former Name | AMANDA ROSE HALLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WI 548-156) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147.001308) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2010-03-05 |