| NPI | 1710301122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00090500) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY1830) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2015-07-17 |