| NPI | 1780845958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 001416-01) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CO 525) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2021-05-25 |