| NPI | 1174722375 |
|---|---|
| Former Name | TIFFANY S LEACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ YA730,MG949) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00073000) |
| 237700000X Hearing Instrument Specialist | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2018-01-12 |