| NPI | 1710963954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00073100) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00039900) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2012-08-08 |