| NPI | 1689896573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT005775) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00060800) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00101600) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2009-01-06 |