| NPI | 1659787323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002552-1) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NY 14000042431) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2015-01-09 |