| NPI | 1043964869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 528762) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 528762) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2023-11-13 |