| NPI | 1609150440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA 4065) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CA 2468) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2017-03-15 |