| NPI | 1205266210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002465) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000038300) |
| 231H00000X Audiologist (Licence: MA 1118) | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2017-03-13 |