| NPI | 1225653835 |
|---|---|
| Former Name | MARY ALLEN MADDIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81274) |
| Additional Taxonomies | 231H00000X Audiologist |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 81274) | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2022-12-07 |