| NPI | 1639488471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00078900) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: VA 2201001441) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00122000) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2014-10-31 |