| NPI | 1063619047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS A2309) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 51625) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: LA 6553) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2023-11-28 |