| NPI | 1194188904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81809) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: TX 81809) |
| 231H00000X Audiologist (Licence: FL AY2245) | |
| 231H00000X Audiologist (Licence: MS A4067) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2025-11-20 |