| NPI | 1710471099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60970989) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KY 242637) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2021-04-12 |