NPI | 1073913703 |
---|---|
Former Name | DEBORAH JENDELL STROUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 50774) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 50774) |
Enumeration Date | 2014-08-29 |
Last Update Date | 2021-01-27 |