| NPI | 1417051822 |
|---|---|
| Former Name | HEIDI MARIE SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000139) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000139) |
| 231H00000X Audiologist (Licence: FL AY1213) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2008-08-27 |