| NPI | 1245601756 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80665) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: TX 80665) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80665) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2022-04-21 |