| NPI | 1780970103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 00899-1) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 0008991) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14000067464) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2022-02-24 |