| NPI | 1154636413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002322-1) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000039468) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2019-08-12 |