| NPI | 1710119649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80180) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 80180) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80180) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2014-10-02 |