| NPI | 1356956684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 528763) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: TX 81297) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-06-17 |