| NPI | 1174783021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 4104) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00058800) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00091600) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2021-06-10 |