| NPI | 1487632329 |
|---|---|
| Former Name | LISA MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WI 399156) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 1899154) |
| Enumeration Date | 2005-12-31 |
| Last Update Date | 2020-06-19 |