| NPI | 1396917407 |
|---|---|
| Former Name | STEPHANIE A SOUKUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 075863) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NE 257) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2025-08-04 |