NPI | 1104340223 |
---|---|
Former Name | SAMANTHA LOUISE LUKERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 518068) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2017-07-31 |
Last Update Date | 2023-12-01 |