| NPI | 1053717173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002518-1) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00088700) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |