| NPI | 1407237571 |
|---|---|
| Former Name | NICOLE MICHELLE FUHS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012772) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.003306) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2021-11-14 |