| NPI | 1972601326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231HA2500X Audiologist Assistive Technology Supplier (Licence: NY 14000002100) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NY 1064) |
| 231HA2400X Audiologist Assistive Technology Practitioner (Licence: NY 15000000829) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-06-05 |