| NPI | 1790214690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 002764) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NY 14000049644) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-09-15 |