| NPI | 1215100391 |
|---|---|
| Former Name | LAURA RENEE ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 60525) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 60525) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2012-04-25 |