| NPI | 1629102553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 110557-4101) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: UT 11057-4101) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-05-11 |