NPI | 1134864044 |
---|---|
Former Name | MOLLY E SIENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MN 518069) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 518069) |
Enumeration Date | 2022-05-04 |
Last Update Date | 2024-02-15 |