| NPI | 1750892733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 4722) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 002743) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2018-05-14 |