| NPI | 1174290860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00122100) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 003050) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2023-02-21 |