| NPI | 1730242470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00002400) |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: NJ 25MG00046100) |
| 231HA2500X Audiologist Assistive Technology Supplier (Licence: NJ 25MG00046100) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00046100) | |
| 237700000X Hearing Instrument Specialist (Licence: NJ 25MG00046100) | |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2007-07-08 |