| NPI | 1568853299 |
|---|---|
| Former Name | AMANDA RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 81463) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 80695) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 81463) | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2023-08-16 |