| NPI | 1114061439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 348) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MA 555) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CT 348) | |
| 231H00000X Audiologist (Licence: CT WAITING ON) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2022-12-08 |