| NPI | 1972045789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NJ 41YA00060500) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: DE 02-0000183) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NJ 25MG00093500) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2021-04-30 |