| NPI | 1821155201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 90346) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 50362) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 01001355-02) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-11-13 |