| NPI | 1831608991 |
|---|---|
| Former Name | LAUREL K DONALDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2024019233) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: IL 147001644) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2024-06-18 |