| NPI | 1215316070 |
|---|---|
| Former Name | RANDI L DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN 0000001755) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2024-05-02 |