| NPI | 1104053354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80242) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2010020706) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80242) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MO 2010020706) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2024-06-13 |