NPI | 1265697320 |
---|---|
Former Name | SANDY L. SHELLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MI 3501004909) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
Enumeration Date | 2008-07-28 |
Last Update Date | 2009-09-09 |