| NPI | 1205612330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00127700) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 003213) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-28 |