| NPI | 1275798126 |
|---|---|
| Former Name | AMANDA LOUISE WYSOPAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AZ DA5922) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ AUD5922) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2021-08-13 |