| NPI | 1164566600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 428) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 2072) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2016-02-24 |