| NPI | 1043311046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00093300) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 00154) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000016742) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-10-23 |