| NPI | 1639467046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 10766486-4101) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: UT 10766486-4101) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2020-01-08 |