| NPI | 1649598251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AL 1049A) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003821) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2011-05-10 |