| NPI | 1023408911 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80737) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2015-01-29 | 
| Last Update Date | 2016-09-13 |