NPI | 1295961167 |
---|---|
Former Name | DEBRA DAWN DAVILA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80165) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NM 4556) |
Enumeration Date | 2009-06-05 |
Last Update Date | 2011-08-05 |