| NPI | 1578649042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 8430) |
| Additional Taxonomies | 231HA2500X Audiologist, Assistive Technology Supplier (Licence: MN 8430) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-11-25 |