| NPI | 1710114251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 927) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 2256) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 2256) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MA 927) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2011-09-30 |