| NPI | 1679507610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80613) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: GA AUD003741) |
| 231H00000X Audiologist (Licence: GA AUD003741) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-01-13 |