| NPI | 1700662129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 805) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 003208) |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2025-05-29 |