| NPI | 1144226739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 5926) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 2226) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2007-07-09 |