| NPI | 1659810752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AL 0620a) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003960) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-23 |