| NPI | 1235175688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 7477) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WI 451-156) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2014-06-12 |