| NPI | 1295908762 |
|---|---|
| Former Name | ANGELA MARIE BURNETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: KY 0242) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TN 1142) |
| 237700000X Hearing Instrument Specialist (Licence: KY 621) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2010-05-24 |