| NPI | 1508009721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT-000074-L) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ YA 00181) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ MG 00585) | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |