| NPI | 1811990351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT-000529-L) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NJ 41YA00030000) |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2007-09-07 |