| NPI | 1205941804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81697) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: OK 190) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 81697) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-01-18 |