| NPI | 1689758187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 51762) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NM 4232) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-08-05 |