| NPI | 1104014760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002367-1) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000033223) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2024-08-07 |