| NPI | 1679780191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NH A12) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 000996-1) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2019-01-04 |