| NPI | 1700575321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD61560625) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OR 31080) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-12-03 |