| NPI | 1013539220 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00109900)  | 
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002986-01)  | 
| Enumeration Date | 2020-05-11 | 
| Last Update Date | 2020-09-25 |