| NPI | 1023058435 |
|---|---|
| Former Name | ROBERTA J HAYDUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IL 147000097) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IL 147000097) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-07-21 |