| NPI | 1710363049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 12117) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD004005) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2017-03-01 |