NPI | 1962645150 |
---|---|
Former Name | KAREN MARY KUPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00041200) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00075600) |
Enumeration Date | 2009-04-17 |
Last Update Date | 2009-04-17 |