NPI | 1699849158 |
---|---|
Former Name | DEBORAH GAYLE KUPCHIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1604) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NY 001980-1) |
231H00000X Audiologist (Licence: NY 1980-1) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2020-02-06 |