| NPI | 1821260761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 8403) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OH A01374) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2021-01-14 |