| NPI | 1093047987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: NY 14000019445) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 6465) |
| 231H00000X Audiologist (Licence: NY 002456) | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2015-03-31 |