| NPI | 1710139837 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 7824)  | 
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 7824)  | 
| Enumeration Date | 2008-10-21 | 
| Last Update Date | 2008-10-21 |