| NPI | 1215379227 |
|---|---|
| Former Name | SUSAN MARIE STANGL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NE 317) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: NE 900801) |
| 237700000X Hearing Instrument Specialist (Licence: NE 143) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2021-08-03 |