| NPI | 1619172418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 50173) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 50173) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-07-20 |