| NPI | 1609283779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00088800) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 2542) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2021-03-18 |