| NPI | 1346608346 |
|---|---|
| Former Name | CARLY GAUCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA 60588775) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CT 573) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2019-11-01 |