NPI | 1982133880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MN 2835) |
Additional Taxonomies | 253J00000X Foster Care Agency (Licence: MN 1087053-1-HCBS) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2022-07-21 |