| NPI | 1174586663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 0011428-1) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000017564) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2007-07-08 |