NPI | 1285922856 |
---|---|
Former Name | SHAWN N BEAMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2011017808) |
Additional Taxonomies | 231H00000X Audiologist (Licence: KS 2207) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2012-01-10 |