| NPI | 1275137762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002954-01) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000062843) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2020-12-11 |