| NPI | 1699175323 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 002464) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 002464) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2018-02-19 |