| NPI | 1619185923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: OR 21078) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80177) |
| 231H00000X Audiologist (Licence: TX 80177) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2010-02-08 |