| NPI | 1093522203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 3290) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 1400074468) |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |