| NPI | 1598768582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000949) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 140000021026) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2009-10-05 |