| NPI | 1568464865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000134) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000002070) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: NY 000134) | |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: NY 000134) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2014-03-31 |