| NPI | 1639519119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD004364) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: SC 3982) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2023-07-19 |