NPI | 1225246259 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00055200) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00015300) |
231H00000X Audiologist (Licence: PA AT000290L) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2009-07-05 |