| NPI | 1881722551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NY 00722) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: NY 14000009063) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: NY 14000009063) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2017-12-05 |