| NPI | 1710929559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00059600) |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: NJ 25MG00082100) |
| 231HA2500X Audiologist Assistive Technology Supplier (Licence: NJ 25MG00082100) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00082100) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-05-24 |