| NPI | 1003100199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 594382) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 594369) |
| 231H00000X Audiologist (Licence: NJ 41YA00066100) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |