| NPI | 1750659454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 001813-1) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000015786) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |