| NPI | 1114100039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 5628) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WI 255-156) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2011-02-15 |