| NPI | 1912199308 |
|---|---|
| Former Name | SUSAN A MUMBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MA 870) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7170) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2008-12-15 |