| NPI | 1932766441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MN 529010) |
| Additional Taxonomies | 231H00000X Audiologist |
| 231H00000X Audiologist (Licence: WI 694-156) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2025-01-10 |