| NPI | 1518018035 |
|---|---|
| Former Name | JAMIE SUZANNE DAUGHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 51677) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-12-02 |