NPI | 1265813745 |
---|---|
Former Name | SHELLEY LYNN WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: NC 12919) |
Additional Taxonomies | 231H00000X Audiologist (Licence: FL AY1949) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2024-04-25 |