| NPI | 1982702668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 50360) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: TX 50360) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-02-08 |