| NPI | 1164934097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81007) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner |
| 231HA2500X Audiologist, Assistive Technology Supplier | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |