| NPI | 1811963549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 605) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 001849) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2018-03-17 |