| NPI | 1427052083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000783) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000000850) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: NY 14000000850) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2007-10-11 |