| NPI | 1669733440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY2082) |
| Additional Taxonomies | 231HA2500X Audiologist, Assistive Technology Supplier (Licence: NY 002403-1) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2016-09-15 |