| NPI | 1811068315 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 000903)  | 
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 14.000000679)  | 
| Enumeration Date | 2006-11-13 | 
| Last Update Date | 2025-09-02 |