| NPI | 1811389521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60626164) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TN 1686) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2016-02-18 |