| NPI | 1417146184 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OH A.01444) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MN 8257) |
| 231H00000X Audiologist (Licence: NE 277) | |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2023-02-02 |