NPI | 1184296519 |
---|---|
Former Name | ANN MARIE NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MN 518175) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
Enumeration Date | 2021-07-14 |
Last Update Date | 2021-07-14 |