| NPI | 1205877057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 000467) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00061000) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2022-01-31 |