| NPI | 1952887804 |
|---|---|
| Former Name | MARI CANELOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 1601001098) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CO AUD.0000927) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CO AUD.0000927) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2023-04-13 |