| NPI | 1386970101 |
|---|---|
| Former Name | ROBERTA JEAN SCHULTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: NY 14000014850) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MA 150) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |