| NPI | 1275594921 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD004121) | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY1089) | 
| Enumeration Date | 2006-03-31 | 
| Last Update Date | 2022-10-03 |