| NPI | 1013619105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 10432) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: MN 200533) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |