| NPI | 1568536910 |
|---|---|
| Other Name | LEAH NICHOLE WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 7603) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 7603) |
| 237700000X Hearing Instrument Specialist (Licence: MN 7603) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |