| NPI | 1720084692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000600-1) |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: NY 000600-1) |
| 231HA2500X Audiologist Assistive Technology Supplier (Licence: NY 000600-1) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000006013) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2007-07-08 |