| NPI | 1811323041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00063200) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 25MG00098800) |
| 231H00000X Audiologist (Licence: PA AT005811) | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |