| NPI | 1043201734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 0010601) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00028200) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2013-08-19 |