| NPI | 1104057199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80138) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 093218) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80138) | |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2022-09-15 |