| NPI | 1073174264 |
|---|---|
| Former Name | SHANNON L MCKINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 13654) |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2022-02-17 |