| NPI | 1003141037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80512) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 924) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MA 924) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2017-03-27 |