| NPI | 1003016007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002150) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NY 14000025780) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2012-04-05 |