| NPI | 1861754228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60384331) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MN 8935) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2014-08-07 |