NPI | 1982732756 |
---|---|
Former Name | ERIN MARIE MAHNKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2008015532) |
Additional Taxonomies | 231H00000X Audiologist (Licence: CA AU 2221) |
237600000X Audiologist-Hearing Aid Fitter (Licence: CA HA 6033) | |
237600000X Audiologist-Hearing Aid Fitter (Licence: MO 2008015532) | |
Enumeration Date | 2007-03-01 |
Last Update Date | 2008-06-20 |