| NPI | 1063632354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00004900) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NJ 25MG00045400) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-12-06 |