| NPI | 1013921337 |
|---|---|
| Former Name | NICOLE TEIXEIRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 625) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MA 625) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2012-08-28 |