| NPI | 1821240078 |
|---|---|
| Former Name | MARY E POTTORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 231H00000X Audiologist (Licence: KS 801) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 3043) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2013-05-02 |