| NPI | 1871892315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 5124) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: MN 5214) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2017-10-31 |