| NPI | 1780178319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD61550530) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OR 30915) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2025-10-30 |