| NPI | 1285883744 |
|---|---|
| Former Name | LISA ANNE ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 3996) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY358) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2017-02-01 |