| NPI | 1295996726 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 41YA00037900) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NJ 25MG00083700) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |