| NPI | 1902830821 |
|---|---|
| Former Name | LESLIE ANNE HULTBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 001897-1) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 001897-1) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-04-25 |