| NPI | 1194409821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81504) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 81504) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2024-05-24 |