| NPI | 1639199961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000341-1) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00070500) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-02-11 |