| NPI | 1619225851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT006266) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00083600) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |