| NPI | 1639731847 |
|---|---|
| Former Name | SAMANTHA PANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601000853) |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2022-12-19 |