| NPI | 1639945207 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: OR 31107) | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: WA 61610082) | 
| Enumeration Date | 2023-11-27 | 
| Last Update Date | 2024-12-18 |