| NPI | 1912947201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 3905) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003545) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2010-02-19 |