| NPI | 1710113840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00085700) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PA AT006121) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2019-10-07 |