| NPI | 1598761421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000779-1) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00043100) |
| 231HA2400X Audiologist Assistive Technology Practitioner (Licence: NY 14000002858) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2015-11-19 |