| NPI | 1306418082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 518230) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WV A-0379) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2021-10-01 |