| NPI | 1689053498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: PA SL012082) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NJ 41YS00791200) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |