| NPI | 1366579930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: SC 3950) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 999-1) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2012-01-12 |